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  1. European Journal of Clinical Microbiology & Infectious Diseases
  2. European Journal of Clinical Microbiology & Infectious Diseases : Volume 19
  3. European Journal of Clinical Microbiology & Infectious Diseases : Volume 19, Issue 7, August 2000
  4. Clinical Impact of an Infectious Disease Service on the Management of Bloodstream Infection
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European Journal of Clinical Microbiology & Infectious Diseases : Volume 36
European Journal of Clinical Microbiology & Infectious Diseases : Volume 35
European Journal of Clinical Microbiology & Infectious Diseases : Volume 34
European Journal of Clinical Microbiology & Infectious Diseases : Volume 33
European Journal of Clinical Microbiology & Infectious Diseases : Volume 32
European Journal of Clinical Microbiology & Infectious Diseases : Volume 31
European Journal of Clinical Microbiology & Infectious Diseases : Volume 30
European Journal of Clinical Microbiology & Infectious Diseases : Volume 29
European Journal of Clinical Microbiology & Infectious Diseases : Volume 28
European Journal of Clinical Microbiology & Infectious Diseases : Volume 27
European Journal of Clinical Microbiology & Infectious Diseases : Volume 26
European Journal of Clinical Microbiology & Infectious Diseases : Volume 25
European Journal of Clinical Microbiology & Infectious Diseases : Volume 24
European Journal of Clinical Microbiology & Infectious Diseases : Volume 23
European Journal of Clinical Microbiology & Infectious Diseases : Volume 22
European Journal of Clinical Microbiology & Infectious Diseases : Volume 21
European Journal of Clinical Microbiology & Infectious Diseases : Volume 20
European Journal of Clinical Microbiology & Infectious Diseases : Volume 19
European Journal of Clinical Microbiology & Infectious Diseases : Volume 19, Issue 12, December 2000
European Journal of Clinical Microbiology & Infectious Diseases : Volume 19, Issue 11, December 2000
European Journal of Clinical Microbiology & Infectious Diseases : Volume 19, Issue 10, November 2000
European Journal of Clinical Microbiology & Infectious Diseases : Volume 19, Issue 9, October 2000
European Journal of Clinical Microbiology & Infectious Diseases : Volume 19, Issue 8, September 2000
European Journal of Clinical Microbiology & Infectious Diseases : Volume 19, Issue 7, August 2000
Clinical Impact of an Infectious Disease Service on the Management of Bloodstream Infection
Clinical and Microbiological Characteristics of Bacteremia Caused by Acinetobacter lwoffii
Effect on Diphtheria Immunity of Combined Tetanus and Diphtheria Booster Vaccination in Adults
Strain Characterization of Candida parapsilosis Fungemia by Molecular Typing Methods
Intrathecal Synthesis of Specific Antibodies in Patients with Invasion of the Central Nervous System by Mycoplasma pneumoniae
Nosocomial Spread of Hepatitis B Virus in Two Hemodialysis Units, Investigated by Restriction Fragment Length Polymorphism Analysis
Secondary Resistance Among 554 Isolates of Helicobacter pylori After Failure of Therapy
Outbreak of Campylobacter Infection in a Subartic Community
Astrovirus Infection Among Children with Gastroenteritis in the City of Zaragoza, Spain
Impact of Moxifloxacin versus Clarithromycin on Normal Oropharyngeal Microflora
Evaluation of Ceftazidime Concentration Released in Agar from an E Test Strip
Influence of Rheumatoid Factor on the Specificity of a Rapid Immunochromatographic Test for Diagnosing Dengue Infection
False-Positive IgM Antibody Tests for Cytomegalovirus in Patients with Acute Epstein-Barr Virus Infection
Candida glabrata Oesophagitis in a Patient Without HIV Infection
Vertebral Osteomyelitis Complicating Rothia dentocariosa Endocarditis
Analysis of Genotypes of Human Astrovirus Isolates from Hospitalized Children in Northeastern Germany
Activity of Trovafloxacin, Alone and in Combination with Other Agents, Against Enterobacteriaceae by Time-Kill Analysis
Is a Kit for Identification of Clinical Yeasts Correctly Evaluated When Released onto the Market?
Announcements
European Journal of Clinical Microbiology & Infectious Diseases : Volume 19, Issue 6, July 2000
European Journal of Clinical Microbiology & Infectious Diseases : Volume 19, Issue 5, June 2000
European Journal of Clinical Microbiology & Infectious Diseases : Volume 19, Issue 4, May 2000
European Journal of Clinical Microbiology & Infectious Diseases : Volume 19, Issue 3, April 2000
European Journal of Clinical Microbiology & Infectious Diseases : Volume 19, Issue 2, March 2000
European Journal of Clinical Microbiology & Infectious Diseases : Volume 19, Issue 1, February 2000
European Journal of Clinical Microbiology & Infectious Diseases : Volume 18
European Journal of Clinical Microbiology & Infectious Diseases : Volume 17
European Journal of Clinical Microbiology & Infectious Diseases : Volume 16

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Clinical Impact of an Infectious Disease Service on the Management of Bloodstream Infection

Content Provider Springer Nature Link
Author Fluckiger, U. Zimmerli, W. Sax, H. Frei, R. Widmer, A. F.
Copyright Year 2000
Abstract  The impact of an infectious disease (ID) service on the optimal antibiotic management of 103 patients with bloodstream infections, defined as bacteremia and systemic inflammatory response syndrome, was evaluated. The optimal antibiotic management was defined according to the Sanford Guide to Antimicrobial Therapy (1996) or written internal guidelines. The judgment on optimal antibiotic management was made at the time of reporting the positive blood culture results. Switching from a broad-spectrum to a narrow-spectrum agent was carried out significantly more often by the ID service than by the attending physicians (25 of 25 vs. 20 of 40;P<0.001). In patients without empirical therapy, the ID service initiated optimal antimicrobial therapy significantly more often than physicians without training in infectious diseases (12 of 12 vs. 4 of 10, P=0.0028). Three of 12 patients in whom the attending physician misinterpreted the positive blood culture result needed 8 days to 4 months of additional hospitalization. In summary, patients for whom an ID service was provided received appropriate treatment more often and experienced significantly fewer complications.
Starting Page 493
Ending Page 500
Page Count 8
File Format PDF
ISSN 09349723
Journal European Journal of Clinical Microbiology & Infectious Diseases
Volume Number 19
Issue Number 7
e-ISSN 14354373
Language English
Publisher Springer-Verlag
Publisher Date 2000-08-03
Publisher Place Berlin, Heidelberg
Access Restriction One Nation One Subscription (ONOS)
Content Type Text
Resource Type Article
Subject Infectious Diseases Microbiology (medical)
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